Rashtriya Kishore Swasthya Karyakram

Rashtriya Kishore Swasthya Karyakram was launched in 07th January 2014. The RKSK programme aims to ensure that adolescents or young people between the ages of 10-19 years benefit from facility based and sustained peer educator.

1.Adolescent Friendly Health Clinics (AFHCs)

• Both the Peer Education Programme and the Adolescent Health Day should lead to referrals to AFHCs which would seek to provide a combination of commodities, IEC and curative services at PHC, CHC and DH levels plus outreach services.

2.Weekly Iron & Folic Acid Supplementation (WIFS)

• Anaemia, a manifestation of under-nutrition and poor dietary intake of iron is a public health problem. Anaemia in India primarily occurs due to iron deficiency and is the most widespread nutritional deficiency disorders in the country today. The prevalence of anaemia in girls (Hb <12 g%) and in boys (Hb < 13g%) is alarmingly high. According to NFHS 3 data, over 55 percent of adolescent girls (15-19 years) and 30 percent of adolescent boys (15-19 years) are anemic. Adolescent girls in particular are more vulnerable to anaemia due to the rapid growth of the body and loss of blood during menstruation. With increase in age, the prevalence of anaemia among girls remains almost stagnant, while among boys, the prevalence rate reduces.
• As adolescent anaemia is a critical public health problem in the country, the Ministry of Health and Family Welfare, Government of India has developed programmatic guidelines for Weekly Iron and Folic Acid Supplementation (WIFS) of adolescents. In Chhattisgarh, WIFS strategy was piloted in three districts (Micronutrient Initiative supported in 2010-2012) and in tribal hostels for girls across the state (UNICEF supported from 2008 onwards). Based on encouraging results in reducing anaemia among adolescents and experiences gained through these pilots, the Government of Chhattisgarh has adapted GoI WIFS guidelines for weekly supplementation of 100mg Iron and 500µg Folic acid and biannual administration of Albendazole 400 mg in adolescent age group in all district.

3.Peer Educator

• The PE programme aims to ensure that adolescents or young people between the ages of 10-19 years benefit from regular and sustained peer education covering nutrition, sexual and reproductive health, conditions for NCDs, substance misuse, injuries and violence (including GBV) and mental health. This is eventually expected to improve life skills, knowledge and aptitude of adolescents.
• In every village, it is expected that at least four peer educators i.e. Two male and two female peer educators will be selected per village/1000 population/ASHA habitation. To ensure coverage of adolescents in both schools and out of school, two peer educators (i.e., one male and one female) will be selected to work with young people in school, and similarly, two peer educators will be selected to work with young people out of school.